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1.
In 1991, the federal Administration on Aging initiated the National Eldercare Campaign to broaden the base of commitment and societal involvement to assist today's vulnerable elderly. With Administration on Aging funding, the project described in this study sought to enhance services to American Indian elders by training individuals as home‐care workers. The project replicated a previously developed American Indian paraprofessional home‐care worker curriculum at Fond du Lac Tribal and Community College in Cloquet, Minnesota. This program, which is transferable to Indian and non‐Indian communities, addressed three contemporary aging issues. First, it addressed the need to incorporate diversity and minority aging knowledge into the curriculum of postsecondary education. Second, it provided more accessible and better quality community‐based in‐home care to meet the needs of frail elderly. Third, this training program confronted the pervasive lack of employment opportunities in many American Indian and other minority communities.  相似文献   

2.
The demographic imperative for geriatric training and care is well documented and comes as no surprise to health care professionals working in the field (see National Institutes of Health, 1987). The dramatic increase in the numbers of elderly, particularly those age 75 and older, suggests that geriatric health care will grow in importance throughout the next decade. This article briefly examines strategies for geriatric education that may have relevance for attempts to formalize and institutionalize geriatric content in academic institutions, and suggests strategies for implementation.

The domains of geriatrics and gerontology have continued to overlap as models of training and health care delivery have evolved. Distinctions between these two perspectives remain important, particularly as they pertain to the emphasis on training related to normal versus pathological aging. For purposes of simplicity, the term geriatric is used in a broad context that includes gerontological education as well. The reality of our educational experiences suggests that a balance between normal and pathological aging content in our curriculum is one of the first crucial variables that needs to be addressed.  相似文献   

3.
Workers serving Ohio's aging population will require increased levels of gerontological education. Using data from 55 Ohio counties, this project investigated the educational needs and reasons for seeking education from professionals in aging. Respondents reported interest in attaining aging related education. Preferred delivery methods included web based and interactive satellite instruction. Continuing education credit was preferred over college credit even though a high percentage indicated a desire for an additional degree (69.8%). Despite over 30 years of Ohio's universities providing aging related education, 58.6% of respondents have no formal aging related training, and 11.7% have only a single course in aging. Gerontological topics that most interested participants in an area for further understanding were Alzheimer's/dementia, medication, and mental health issues.  相似文献   

4.
Most health care and social service providers are routinely required to work with elderly clients and clients’ aging family members. Research suggests that students entering these professions have knowledge deficits and lack positive attitudes toward older people. Few prefer to work with aging clients. Professional curricula are not providing students with adequate training to serve the current needs of this population, much less to meet projected increases in demand for services. To examine this issue, 67 master's students in nursing and social work completed questionnaires assessing (1) knowledge about aging, (2) attitudes toward old people, and (3) perceived barriers to gerontological education. Results confirmed the existence of knowledge deficits among respondents. Attitudes tended to be neutral rather than strongly positive or negative. Knowledge scores were related to attitudes, to respondents’ ages, and to their having lived in households with older relatives. Nursing students identified the greatest barriers in gerontological education as insufficient curriculum time and lack of academic role models. Social work students perceived lower status of work with the elderly and limited experience with healthy older people as the greatest barriers. The two groups agreed that fragmentation of services contributes to inadequate gerontological preparation. Findings suggest a need for didactic and experiential learning opportunities, reinforced by appropriate academic role models, for students in service professions.  相似文献   

5.
The Pennsylvania College of Optometry, with funding from the Administration on Aging, conducted two series of “Vision and Aging” workshops. The project directive was to improve the knowledge of long‐term care and optometric professionals caring for elderly individuals. A total of 86 optometrists and 74 long‐term care professionals completed their respective 2‐day workshops. Evaluation data revealed that participants had little knowledge/skills about vision and aging; the workshops were informative and relevant; interactive strategies employed were favorably received; and participants' knowledge of vision and aging increased. Additional vision‐related training, services, and activities for the elderly have occurred since the workshops were conducted.  相似文献   

6.
Conclusion Because so many infants and young children are cared for in family day care homes, these can play a very important role in the promotion of children's health. Parents and family day care home caregivers should work closely to provide adequate child health supervision, emergency care, nutrition education, mental health services, and sick care services. Further documentation of the health-service needs in this area would be useful in indicating where in-service training and health education for parents and caregivers should be concentrated. Health professionals from both private and public agencies should begin to direct their efforts on behalf of the many children who are cared for in family day care homes and to utilize these as resources for health promotion and disease prevention.  相似文献   

7.
This study was a follow-up investigation on the counselor's role in community mental health. We surveyed 170 multiservice mental health agencies to evaluate counselor job performance. We received 150 responses. In general, we noted that master's degree level counselors delivered direct care services in a competent manner. The findings also indicated that counselor education departments should consider strengthening student knowledge of psychotropic medication, psychopathology, individual assessment, and use of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) (Williams, 1980). Finally, analysis of the data suggested that counselor educators should encourage students to pursue continuing education in program evaluation and budget planning.  相似文献   

8.
Health care providers’ knowledge of and attitudes toward sexuality in older adults may have an impact on the overall quality of care they provide to older clients. One place to begin improving the knowledge and attitudes of health care professionals may be health care educators. If educators have accurate knowledge and positive attitudes, they can help their students acquire accurate knowledge and develop positive attitudes. Forty‐two health care educators in a large community college completed a sexuality knowledge and attitude scale. The study attempted to determine the extent of the educators’ knowledge of sexuality in the aged, their attitudes toward it, the relationship between sexual knowledge and attitudes, and the relationship of knowledge and attitudes to certain personal / demographic variables and professional / experiential factors. The results indicated that the health care educators had limited knowledge regarding aged sexuality but held positive attitudes toward it. No significant relationship was found between knowledge and attitudes. Older health care educators and educators who had participated in continuing education related to sexuality possessed more knowledge about aged sexuality. Educators who rated themselves as more religious held more restrictive attitudes.  相似文献   

9.
Sexuality education and health services for elderly individuals who reside in care settings (e.g., assisted living facilities, nursing homes, retirement communities) have received limited attention in the professional literature. However, the lack of sexual health promotion practices in elder care facilities can be detrimental to older adults’ overall health and quality of life. Barriers to sexuality education services for lesbian, gay, and bisexual (LGB) elders are explored and include history of LGB equality in the United States and lack of social support, as well as discrimination among formal care facilities and health care professionals. The Community Readiness Model (CRM) is proposed for addressing these barriers. The purpose of the CRM is to assess readiness characteristics of a community before program implementation and then build capacity with programming in that community for support and education. Sexuality educators currently have the opportunity to develop and implement sexual health education and promotion resources that can potentially improve the quality of life for LGB individuals transitioning into the latter stages of the life course.  相似文献   

10.
There is growing recognition that children, adolescents, and adults who are mentally retarded are particularly vulnerable to sexual abuse and exploitation and are in need of intervention services. These people are especially vulnerable due to ther often life-long dependence on caregivers, relatively powerless position in society, emotional and social insecurities, and lack of education regarding sexuality and sexual abuse. In addition the mental health functioning and emotional development of individuals who are mentally retarded are not well understood, and many professionals remain uneducated about their mental health needs. To work effectively with this population, mental health professionals and educators must be alert to what is known about the sexual abuse and exploitation of persons with mental retardation. Furthermore, they need to become educated about the rights of these persons to special legal protection from abuse and neglect and to appropriate and effective mental health interventions. The challenge for mental health professionals and educators is to protect persons who are mentally retarded from sexual abuse and exploitation, to provide appropriate psychotherapeutic interventions when abuse occurs, to respect their right to developmentally appropriate knowledge about sexuality and sexual abuse, and to allow for the fulfillment of their sexuality.  相似文献   

11.
This study identified dietetic students' knowledge of aging, attitudes, and intentions to provide services to the elderly and compared the cross-cultural differences between the United States and South Korea. The results show that knowledge about aging and the elderly, coursework experiences, and internship experiences are much greater among American college students than among Korean college students. Stepwise regression results found positive attitudes toward working for the elderly, as well as internship experiences, influenced behavioral intentions among both Korean and U.S. students. Effective education programs should integrate sufficient knowledge, positively reflect student attitudes toward aging populations, and control the quality of contact with the elderly.  相似文献   

12.
In this article we respond to the call to action that is the crisis among seniors called The Silver Tsunami! We describe the education of students through the use of Feil's Validation Therapy. There are growing concerns among social service providers regarding the rapid increase of the elderly population and the lack of adequate staff to provide care for our seniors. If we as educators, agency administrators, or committed family members ignore this call to action, the cycle of the employee “revolving door” will continue with inadequately trained and emotionally disconnected personnel working with aging persons. Frontline workers are the backbone of any agency. They are the ones who interact with seniors and their loved ones and collaborate with other medical and community professionals. We, as their teachers, must enhance their knowledge and skills so they many continue to provide service to the second most vulnerable population.  相似文献   

13.
14.
The results of a community college's efforts to develop a range of educational services for the aging are presented. Cultural, educational, and recreational activities provided within a college setting and through a network of neighborhood centers are described, as well as continuing education and in‐service training programs for persons who work with the elderly. The processes and problems involved in planning, organizing, and administering such a comprehensive program for the elderly in an educational institution are described and discussed.

The authors attempt to demonstrate that a wide range of opportunities exists for colleges and universities in most localities to develop a variety of services that can enhance the quality of life of the elderly. Their central message is that it is possible to accomplish a lot with quite limited resources if available resources are used well. A variety of educational services to a large number of older persons and to people who work with them was generated by a small initial grant. This grant enabled the college not only to begin to identify the educational needs of the elderly in a particular locality but also to locate a wide range of available resources (money, people, facilities) that could be used immediately to provide services.  相似文献   

15.
Professional practice with older adults is performed in a variety of settings and across a broad range of areas. Planning for care throughout the end of life represents an increasingly important aspect of work with older adults as a result of the nation's aging demographic and concomitant health care needs. Community-based geriatric case managers represent a growing cadre of professionals encountering frail older adults with future care needs that can be anticipated in advance; however, little is known regarding specific professional and personal factors associated with greater practice in this area. This article presents the findings from a study of 148 community-based case managers' advance care planning practices, conducted in the Southeastern United States. Correlational analyses revealed specific gerontological skills, educational activities, and personal experiences in advance care planning that was highly correlated with practice. Implications for training are discussed.  相似文献   

16.
This article describes an interdisciplinary continuing education approach for health professionals in a rural remote area implemented by the Northern Educational Centre for Aging and Health (NECAH) at Lakehead University in Thunder Bay, Ontario, Canada. The article discusses issues of rural health care practice and the implications for practitioners’ educational needs. The key components involved in delivering interdisciplinary education and teamwork training are reviewed, followed by a discussion of the relevance of an interdisciplinary participatory approach for rural practitioners given their practice context and work style. Using NECAH's experience in planning and delivering a 5‐day interdisciplinary education program in palliative care as a case example, it is argued that simultanous attention to these issues in the design and delivery of continuing professional education for rural professionals contributes to a relevant educational experience in the short‐term and an increased interdisciplinary collaboration in the long‐term. The article suggests that NECAH's interdisciplinary participatory approach is a significant model for the continuing education of health professionals in rural remote areas.  相似文献   

17.
Geriatric fellowship curricula in primary care specialties of medicine include a minimum of mental health education, resulting in inadequate psychiatric assessment of the elderly. An educational program was developed to teach the psychology of aging, communication skills, and psychotherapy principles with older adults to geropsychiatry fellows during a 2‐year fellowship. The program's impact on fellows' performance was measured using 10 rated skill areas from the Periodic Review of Psychotherapy Skills. Improvement or maintenance of skills at the highest level was achieved by all fellows. The program's success is indicated by improved conceptualization of older adults' problems, increased accuracy of diagnoses, development of more appropriate treatment plans and goals, and refined communication and psychotherapy skills. Applicability to other medical and nonmedical disciplines and impediments to fellowship integration are discussed.  相似文献   

18.
Providing early childhood professionals with professional development opportunities to enhance their skills and knowledge can improve quality of care. For professional development to be valued by the early childhood workforce, it is essential to offer meaningful content that accommodates the needs of the learner. With an increasing demand for quality professional development, as well as the expansion of online learning opportunities, this qualitative study explores the opinions of 14 North Carolina early childhood professionals regarding their professional development training needs and online learning preferences. Training content needs, experiences with online learning, and recommendations for training development are discussed. This study has implications for professional development creators and trainers for advancing the education and growth of the early childhood workforce.  相似文献   

19.
Case management is widely recognized as an important component of an effective model for delivering health and social services in the community. In Canada, case management is increasingly being adopted as a method of providing long‐term services to older clients. Professionals working in community‐based, long‐term care require training specific to their roles as case managers for seniors. Gerontology educators can respond to case managers’ learning needs by developing and providing innovative programs. This article reports on an assessment of the training needs of health and social service personnel who perform case management functions on a long‐term basis with elderly clients in Canada, the extent and type of case management training currently provided by Canadian agencies, and an outline of curriculum options designed to address case manager training needs.  相似文献   

20.
In this case study, we assessed academic functioning, service satisfaction, and needs of student veterans at a community college who had accessed the Veterans Health Administration (VHA) Student Veteran Health Program (SVHP) (n = 36). The SVHP provides outreach and behavioral health services directly on a large community college campus to overcome common barriers to engagement in mental health care (e.g., distance from a VA medical center). Academic difficulties that were most commonly reported were in the areas of retention of information, meeting deadlines, and cooperation with other students. Overall, the majority of student veterans who received services in the SVHP were satisfied (76.5%). Services targeting attention and concentration and utilization of educational benefits were highlighted as important by student veterans. This case study of VA services delivered within the community college setting provides important insights into how to design VA services to target the needs of student veterans. Specific recommendations for supporting student veterans on a community college campus are discussed.  相似文献   

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